REPUBLIC OF THE PHILIPPINES}

CITY OF CEBU } s.s.

AFFIDAVIT OF UNDERTAKING

I, of legal age, Filipino citizen, and a resident of

, after having duly sworn to in accordance with the law, depose and say:

1. That I was an employee of , as a (position) from to

;
2. That I have resigned from the said position and am no longer associated with the
company in any manner;
3. That as requisite for the issuance of my Certificate of Employment, should there
be any payables from my end after duly computing the claims in the company, I
will be paying the said amount within 10 days from when I receive the accounted
sum.

IN WITNESS THEREOF, I hereunto affix my hand this day of

at .

AFFIANT

SUBSCRIBED AND SWORN to before me this this ______ day of ______________ 2018
at Cebu City by the above-mentioned person who exhibited to me their Community Tax
Certificate/TIN#: issued on at Cebu City,
Cebu.

NOTARY PUBLIC

Doc. No. ;
Page No. ;
Book No. ;
Series of 2018.